title: Benign nodular tertiary syphilis: a rare presenting manifestation of HIV infection.
abstract: Late cutaneous syphilis has become a rarity as a result of the effective treatment of early and latent syphilis with antibiotics. We report a heterosexual male who presented with multiple large annular plaques of two years duration. Skin biopsy revealed endarteritis and non-caseating granulomas in the dermis along with plasma cells. VDRL and TPHA were reactive. ELISA for HIV-1 antibodies was reactive. This is the first report of nodular tertiary syphilis as the presenting manifestation of HIV.
authors.affiliation: Dept of Skin and STD, Victoria Hospital, Bangalore Medical College and Research Institute, Bengaluru, India.
authors.forename: T N
authors.initials: TN
authors.lastname: Revathi
authors.forename: Shilpa
authors.initials: S
authors.lastname: Bhat
authors.forename: G S
authors.initials: GS
authors.lastname: Asha
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D006679:HIV Seropositivity / Q000150:complications*; D006801:Humans; D008297:Male; D010401:Penicillin G Benzathine / Q000627:therapeutic use; D013587:Syphilis / Q000150:complications / Q000188:drug therapy / Q000473:pathology
chemical_list: D000900:Anti-Bacterial Agents; D010401:Penicillin G Benzathine